社区老年慢性病患者的心理护理

目的 通过分析老年慢性病患者的心理特点,采取个性化的心理护理,已达到良好的治疗效果.方法 对2010年6月～2011年6月本社区服务中心诊治的72例老年慢性病患者,护理人员利用护理、治疗的一切机会,分析患者的心理特点,并根据其的心理特点进行有针对性的心理护理与指导.结果 72例老年患者经过护士耐心的心理护理,对护士产生了信任感,能积极主动地配合治疗和护理.结论 对老年慢性病患者认真及时做好心理疏导和心理支持,充分调动患者自身能动性,对疾病康复有着积极作用.     

心血管内科老年患者的心理护理体会

目的 了解心内科老年患者的心理特征,探讨心理护理的方法及效果.方法 对244例老年患者的心理状态进行综合分析,并针对患者不同的心理特点,采取针对性的心理护理措施.结果 老年患者对住院满意率大大提高,住院时间缩短.结论 在老年患者中采取心理护理措施是必要的,可以缩短患者住院时间,提高治疗效果.     

骨科老年患者的心理分析及护理要点

目的 通过对骨科老年患者实施恰切的护理,使患者得以早日康复.方法 对265例老年患者进行心理分析,了解其特殊的心理特点及生理特点.为护理计划提供依据,给予针对性的护理,并指导正确的功能锻炼.结果 265例患者,并发症发生率10%,治愈率92.8%.随访150例,功能恢复良好.结论 科学的护理方法是骨科老年患者护理工作获得满意的关键.     

老年患者的心理分析与护理干预

目的探讨老年患者的心理特点,进行护理干预,提高护理质量。方法分析89例老年患者的心理状态,针对其不同的心理特点,进行针对性的护理。结果老年患者对住院满意率大大提高。结论针对不同老年患者实施正确的心理护理,是提高护理质量的关键。     

老年病人的心理特征与护理

目的探讨老年患者的心理特点,并提出针对性的护理对策,提高护理质量。方法对老年患者的心理状态进行综合分析,并针对患者不同的心理特点,采用针对性的护理。结果老年患者对住院满意率大大提高。结论认真分析老年患者的心理特点,加强护患双向沟通,实施因人而异的护理服务是提高护理质量的关键。     

浅谈老年患者的心理护理

随着社会的发展,医学模式的转变,人们越来越重视心理护理.心理护理是整体护理不可分割的一个重要组成部分,现在临床护理中,尤其是对老年患者的护理中,心理护理更加引起人们的重视.老年患者随着年龄的增长,生理机能逐渐衰退,常出现感情、意志、性格的变化,如反应慢、记忆力差、忧郁、淡漠、依赖、恐惧、固执、怕孤独、易激动等.针对老年患者的心理特点,加强老年患者的心理护理是十分必要的.     

120例老年病人心理护理

本文对1 20例老年病人的心理护理进行了讨论:认为由于疾病的类型、住院时间长短及患者性格、个人经历、文化素养、经济状况及所处的社会环境和疾病的认识不同,表现出不同的心理特点,而作为护理工作者如何根据病人的不同心理特点开展不同的心理护理,使病人处于最佳的治疗状态,是非常重要的.     

老年患者的心理分析与护理对策

对72例老年住院患者的心理特点进行分析及心理护理.通过对老年患者常见的心理问题、不同老年患者的心理特点进行有效的心理沟通并加以疏导,实施心理护理,提出相应的护理对策,其中65例患者改善了的心理调适能力,对疾病的治疗由被动转变为主动参与,患者的满意度提高,提高对疾病的治疗效果和老年患者的生存质量.     

浅谈老年住院患者的心理护理

目的:探讨老年住院患者的心理特点及有效的心理护理措施。方法:总结38例老年住院患者的心理护理体会,根据老年人的心理特点,从护患关系、住院环境、不良心态的疏导等方面进行护理。结论:加强心理护理可以使患者达到最佳的治疗状态,且能促进疾病早日康复。     

内科老年患者的心理特点及护理研究

目的探讨内科老年患者的心理特点，研究具体的护理措施。方法选取我院2011年5月-2012年5月内科老年患者108例，随机分成观察组与对照组，每组54例。对这些老年患者的心理特点进行分析，对照组进行常规护理干预；观察组在常规护理的基础上实行心理护理。比较2组患者的临床效果。结果观察组与对照组患者的有效率、护理满意度差异均具有统计学意义（p〈0．05）。结论对老年患者的心理特点进行认真分析，在常规护理基础上实施心理护理后，显示了非常好的效果，提高了治疗的有效率以及患者的满意度，值得，临床推广应用。     

Value of D-Dimers in patients with acute aortic dissection

Objective: To evaluatel the value of D-dimers in patients with acute aortic dissection (AAD). Methods: This study consisted of 16 patients with AAD and 27 non-AAD patients. Serum D-dimets were measured by Sta-Liatest D-DI immunoturbidimetric assay. Results: D-dimer level was higher (P ＜ 0.001) in patients with AAD(7.91 ± 5.52 μg/ml) than that in non- AAD group(1.57±1.24 μg/ml). D-dimer was positive (＞0.4 μg/ml) in all patients with AAD and in 10 control group patients (37%). Among patients with acute AAD, D-dimers tended to be higher in Stanford A than in Stanford B (8.67 ± 4.31 μg/ml vs. 3.24±1.27 μg/ml, P ＜0.01). D-dimer values tended to be higher in more extended disease(3.84 ± 1.65 μg/ml, 8.57 ± 3.58 μg/ml and 11.87 ± 5.69 μg/ml in thoracic aorta, thoracic and abdominal aorta, thoracic and abdominal aorta and iliacal arteries, respectively, P ＜ 0.05 for both 8.57 ± 3.58 and 11.87 ± 5.69 vs. 3.84 ± 1.65 ). Including the control group into the analysis, we found a sensitivity of 100%, a negative predictive value of 100%, and a specificity of 66% and a positive predictive value of 64% for D-dimer in diagnosis of AAD in our patients with suspected AAD. Conclusion: D-dimer was elevated in patients with AAD. A negative D-dimer test result could be useful in excluding AAD.     

Research of combined liver-kidney transplantation model in rats

Objective： To set up a simple and reliable rat model of combined liver-kidney transplantation. Methods： SD rats served as both donors and recipients. 4℃ sodium lactate Ringer＇s was infused from portal veins to donated livers,and from abdominal aorta to donated kidneys, respectively. Anastomosis of the portal vein and the inferior vena cava （IVC） inferior to the right kidney between the graft and the recipient was performed by a double cuff method, then the superior hepatic vena cava with suture. A patch of donated renal artery was anastomosed to the recipient abdominal aorta. The urethra and bile duct were reconstructed with a simple inside bracket. Results： Among 65 cases of combined liver-kidney transplantation, the success rate in the late 40 cases was 77.5%. The function of the grafted liver and kidney remained normal. Conclusion： This rat model of combined liver-kidney transplantation can be established in common laboratory conditions with high success rate and meet the needs of renal transplantation experiment.     

APPLICATION OF LORNOXICAM TO PATIENT-CONTROLLED ANALGESIA IN PATIENTS UNDERGOING ABDOMINAL SURGERIES

FOR anesthesiologis s ,treatingpostoperativepainhas alwaysbeen a problem.Althoughopioidshave been provedtobe effective,theirsideeffectscouldnotbeignored.With thedevelopmentofscienceand pharmacology,many drugs with aspectsof satisfactoryanalgesicefficacyand couldbe welltoleratedby patientshave been developed.And lornoxicamisone of them, which isa non-steroidalanti-inflammatorydrug (NSAID ), with analgesic, anti-infl-ammatory,andantipyreticproperties.Itseliminationhalf-time(3 to 5 hours) isle…     

Development on Adjustable Calibration Marker for Shock Wave Focus

Shock wave lithotripsy （SWL） is a treatment of choice for upper urinary stones. However, this procedure is inappropriate for obese patients because the focus is often unable to reach the target owing to the limited focal distance in shock wave source. Although treating such patients in a blast path may increase the application length of shock wave source, it＇s difficult to find this path on the lithotripter monitor. For this reason, we invented an adjustable calibration marker in order to set an effective focus in the shock wave hath.     

Study on the TCM Pathogenesis of Angiopathic Complications of Type II Diabetes

Excess production of reactive oxygen species(ROS)of mitochondrion mediated by hyperglycemia is the common pathogenesis of angiopathic complications of diabetes.TCM holds that the damp from the dysfunction of spleen.kidney and liver is the causative factor of complications of diabetes.This is similar to the mechanism of Ros resulting in angiopathic complications of diabetes.When the angiopathic complications of type II diabetes mellitus(T2DM)are difierentiated as caused by turbid damp in TCM can be explained as ROS.Since the obstruction of pathogenic damp in channels and collaterals is said to be the main pathogenesis,the treating principle should be dissolving the damp to remove the obstruction.     

Leptin, Ghrelin and TNF-α before and after Hypo-caloric Traditional Chinese Diet and Auricular Acupuncture

INTRODUCTION Obesity is a complex emergent problem, which can be possibly solved not only by the diet but also by the life style and promotion of a constant physical exercise. 1, 2 No doubt careful attentions must be given to the nutritional condition of obese people, the dietary habits, the somatic build (i.e. distribution of fat mass) and the organic functions linked to formation of the fat mass. All the parameters should be constantly monitored before, during and after a diet treatment. 3, 4, 5     

Relationship between Dysglycemia and Carotid Atherosclerosis in Tibetan Population

People with dysglycemia are at high risk for atherosclerotic diseases. This study aims at investigating the atherosclerotic vascular damage in dysglycemia and its metabolic origin in Tibetan population.     

Acupuncture Combined with Spinal Tui Na for Treatment of Primary Dysmenorrhea in 30 Cases

Objective: To observe the therapeutic effects in acupunture treatment of primary dysmenorrhea combined with spinal Tui Na, and study its mechanism. Methods: Thirty cases of the treatment group were treated by acupuncture combined with spinal Tui Na, and thirty cases in the control group were treated by routine acupuncture. Results: The total effective rate was 93.3% in the treatment group, and 73.3% in the control group, with a significant difference between the two groups (P<0.05). Conclusions: Acupuncture combined with spinal Tui Na has good prospects for treatment of primary dysmenorrhea.     

Luo Lingjie's Experience in Treating Chronic Nephropathy

In treating chronic nephropathy,Luo Lingjie,a chief physician,pays attention to regulating the balance between yin and yang,treating infection if present,and removing pathogenic factors.He prescribes gentle drugs and uses carefully strongly warming-tonifying ones,emphasizes the importance of persuading the patient to persist in treatment with medication and nurse one's health for recuperation,and is good at combined use of TCM and western medicine therapy and brings the merits of various therapies into full play,with obvious theraoeutic effects.     

Dr.Zhang Ren's Experience in the Acupuncture Treatment of Different Diseases with the Same Therapeutic Principle

Dr.Zhang Ren,the chief physician,is the chairman of Shanghai Acupuncture and Moxibustion Association.Having been engaged in medicine for about 40 years,he is experienced in treating various intractable diseases.In his long years of clinical practice,he advocates taking the TCM differentiation as the basis to seek for the acupuncture method for treatment of modern intractable diseases.The author of this essay had the fortune to follow Dr.Zhang in study.The following is a summary of Dr.Zhang's experience in the acupuncture treatment for different intractable diseases with the same therapeutic principle.